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l� <br /> Fax cop&f Lab Report and COC to Chevron Cort. ❑ No Chain—of -CUSS' —ReCord <br /> Chemn Foontly Number 9-2033 Chevron Contact (Name) Brett Hunter , <br /> Faclity Address 508 West Charter Way, Stockton, CA (510) 842-8695 <br /> (Phone) <br /> Chevron U.S.A. Inc. _ - . <br /> Consultant Proset Number g70?-Z f Sequoia <br /> P.O. BOX 5004 � Laboratory Nama <br /> Consultant Name Blaine Tech Services, Inc.� ���� 9008991 <br /> Laboratory Release Number <br /> San Ramon, 1(80 Rogers Ave. San Jose CA 95112 .� <br /> FAX (415)842--9591 Address--- 8 Samples Collected by (Name) <br /> Project Contact (Name) Fran Thie Collection Dale a 47 <br /> (Phone)408-573-0555 fFox Number)408-573-7771 signature ��,, <br /> Analyeee To Da Performed �'l���y p<(�tJ DO NOT BILL <br /> e C FOR TB—LB <br /> anc u <br /> x 4 h t{ Z 1f 0. a i- 7 0 e N <br /> pp� L q C1UG L F M Ow r0 -^c? `�CJ 'n1^7 ,o (�1 0 <br /> 4 N A6 N R d <br /> v� r0 u N <br /> .3 } A R % o . O Sv uv .v 'iv v pv •Y <br /> 9 x m r= te a a. d. x cf o Remarks ` <br /> ,A, LJ ��,ro h'� y x k e-,r — <br /> �r�'3 3 w �zcc, n~,.c. Y x X i:=7,e/d <br /> l � <br /> Relinquished By (Signal Organization pate/71ma <br /> s ReceiTveedd`By Organization'Zfzattion• TuAround Time (CfrcIL s c <br /> 1 24 Hre. <br /> Rel qulehed ey (Signature) Organization Do /'R a Received Dy (Signature) Organization Date/time 48 Hre. <br /> 1 <br /> 5 Days <br /> to Day. <br /> WnquEehod Dy (Slgnolure) Organization at-/Nme flocleved ror Laboratory Dy (Signature) Doteenme Conlmoted <br /> �23 Cd <br /> ot'� —z5-9 -7 <br />